scholarly journals THE PROBLEM OF DEVELOPMENT OF MAXILLARY SINUSITIS AFTER SINUS-LIFTING SURGERY

2020 ◽  
Vol 16 (3) ◽  
pp. 5-10
Author(s):  
Ekaterina Remizova ◽  
Malkan Amkhadova ◽  
Tamara Gergieva ◽  
Islam Amkhadov
Keyword(s):  
Clinical Practice ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Systematic Analysis ◽  
Bone Material ◽  
Dental Implantation ◽  
Sinus Cavity ◽  
Sinus Lifting ◽  
Odontogenic Sinusitis ◽  
Optimal Visualization

Subject. In some clinical cases maxillary sinus lift is a nessesary surgery preparing for dental implantation in the distal parts of the upper jaw. However, despite the widespread using of this type of surgery in clinical practice, the percentage of postoperative complications leading to the development of odontogenic maxillary sinusitis after sinus-lifting surgery does not decrease from year to year. Among the complications of sinus lifting, the following main ones are distinguished: perforation of the maxillary sinus mucosa and nasal cavity; rejection of a previously installed dental implant; migration of the implant and/or bone material to the maxillary sinus; bleeding; acute maxillary sinusitis. The aim is to conduct a systematic analysis of domestic and foreign literature sources to determine the main factors of development of postoperative odontogenic sinusitis, as well as features of diagnosis and prevention of this complication. Methodology. The review of research allows us to consider the etiology of odontogenic maxillary sinusitis after sinus-lifting surgery and the pathogenesis of the disease, to draw conclusions about possible ways to prevent its development. Results. Odontogenic sinusitis that developed after the sinus-lifting operation is very common in clinical practice, despite the widespread use of this type of bone augmentation and proven methods of surgical intervention. The reason for this can be both anatomical prerequisites and iatrogenic factors, as well as insufficient diagnosis of pathologies of the paranasal sinuses in the preoperative period. Conclusions. The development of postoperative sinusitis can be avoided with careful planning of the operation, necessarily with computer tomography (preferably, cone-beam (dental) computed tomography, which is characterized by a relatively low load for optimal visualization of the maxillofacial tissues). Pathological changes in the sinus cavity and paranasal structures should be eliminated as planned before the sinus-lifting operation.

scholarly journals Floating septum technique: easy and safe method maxillary sinus septa in sinus lifting procedure

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Junho Jung ◽  
Bo-Yeon Hwang ◽  
Byung-Soo Kim ◽  
Jung-Woo Lee
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Schneiderian Membrane ◽  
Safe Method ◽  
Membrane Perforation ◽  
Sinus Lifting ◽  
Maxillary Sinus Septa ◽  
Sinus Floor

Abstract Background The presence of septa increases the risk of Schneiderian membrane perforation during sinus lift procedure, and therefore, the chance of graft failure increases. We present a safe method of managing septa and, in particular, overcoming small and palatally located septa. Methods After the elevation of the flap and the creation of a small bony window positioned anterior to the septum, the Schneiderian membrane is lifted carefully. A thin and narrow osteotome is then placed at the indentation created at the base of the septum, and mobilization of the septum is achieved by gentle malleting. The membrane is again carefully lifted up behind the septum. Results There was one small membrane perforation case in all 16 cases, and none of these patients showed postoperative complications such as implant failure, infection, or maxillary sinusitis. Conclusions This technique is useful for overcoming the problem of maxillary sinus septa hindering the sinus floor elevation procedure, leading to fewer complications.

scholarly journals The Modified Caldwell-Luc Approach with the Use of Collagen Material for Treatment of a Chronic Perforated Maxillary Sinusitis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ekaterina Diachkova ◽  
Elena Morozova ◽  
Natalia Blagushina ◽  
Svetlana Tarasenko
Keyword(s):  
Maxillary Sinusitis ◽  
Collagen Membrane ◽  
Oroantral Fistula ◽  
Surgical Closure ◽  
Dental Implantation ◽  
Dental Rehabilitation ◽  
History Of ◽  
Sinus Lifting ◽  
Buccal Flap

Oroantral fistula (OAF) often develops after extraction of posterior maxillary teeth and requires surgical closure. If it persists, OAF may result in maxillary sinusitis. This paper reports a case of an oroantral fistula, associated with chronic maxillary sinusitis. A 46-year-old female patient presented with a history of traumatic tooth extraction, which led to OAF formation. Three unsuccessful attempts were made to close it elsewhere. With one operation, we performed Caldwell-Luc surgery and closed OAF with a collagen membrane and plug and a buccal flap. The patient was assessed at 1-, 3-, 6-, and 12-month and 8-year follow-up visits, with no signs of maxillary sinusitis or OAF recurrence being found with the efficient amount of bone and opportunity for further dental rehabilitation like sinus lifting and dental implantation. We believe that this approach may be a viable option in similar cases.

scholarly journals Odontogenic Sinusitis Caused by an Inflammation of a Dentigerous Cyst and Subsequent Finding of a Fibrous Dysplasia. A Case Report

2016 ◽  
Vol 10 (1) ◽  
pp. 647-655 ◽  
Author(s):  
Carmen López-Carriches ◽  
Inmaculada López-Carriches ◽  
Rafael Baca-Perez Bryan
Keyword(s):  
Maxillary Sinus ◽  
Fibrous Dysplasia ◽  
Maxillary Sinusitis ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Complete Recovery ◽  
Diagnostic Methods ◽  
Radiographic Examination ◽  
Follicular Cyst ◽  
Odontogenic Sinusitis

We report the case of a 38-year old male patient with sinusitis caused by an infected follicular cyst due to an ectopic impacted third molar in the right maxillary sinus. A 10-day antibiotherapy regimen was administered; subsequently, the cyst and the third molar were removed achieving complete recovery. Fibrous dysplasia was diagnosed at follow-up examination (occupation of the maxillary sinus by bone tissue was observed in a radiographic examination) and confirmed by biopsy. In cases of odontogenic sinusitis, thorough examination is crucial, as evidenced by the case reported in this study. A Literature review was performed in order to identify the diagnostic methods currently available and the clinical features, complications and treatment for both, odontogenic maxillary sinusitis and fibrous dysplasia.

scholarly journals MINIMALLY INVASIVE METHODOLOGY FOR SURGICAL TREATMENT OF ODONTOGENIC SINUSITIS

2019 ◽  
Vol 23 (3-4) ◽  
pp. 7-8
Author(s):  
D.S. Avetikov ◽  
I.V. Yatsenko ◽  
V.N. Нavryliev ◽  
V.V. Aipert
Keyword(s):  
Maxillary Sinus ◽  
Surgical Intervention ◽  
Radical Surgery ◽  
Maxillary Sinusitis ◽  
Pathological Process ◽  
Intracranial Complications ◽  
Odontogenic Sinusitis ◽  
Diagnostic Capabilities ◽  
Bone Structures ◽  
Sustained Recovery

Today, odontogenic sinusitis (OS) occurs in up to 40% of cases among all maxillary sinusitis. At the same time there is an increase in the incidence of OS. This is facilitated by factors such as late medical treatment, improved diagnostic capabilities, an increase in number of dental and especially implantation interventions with the lifting of mucous floor of maxillary sinus. The aim of work was to develop an optimal, sparing surgical option that should lead to a lasting recovery of patients with odontogenic sinusitis. For 5 years, under supervision and treatment, there were 58 patients with hypertension from the age of 20 to 65 years. In 42 of them, the cause of development of exhaust gas was a complication of the tooth extraction operation, which led to perforation of the lower wall of the sinus. In one case out of 42 observed patients with odontogenic sinusitis (OS), the patient did not need to undergo radical surgery on the maxillary sinus lesions. All patients managed to achieve a sustained recovery with minimal surgical intervention, both in bone structures, and in the mucous membrane of the maxillary sinus (MS), nasal cavity and oral cavity. The authors of the article believe that at in case of OS, there is no evidence for radical surgery on MS, and surgical intervention should be organ-preserving. An exception can be made only for cases of OS that is complicated by inflammatory osteomyelitis, orbital and intracranial complications. Patients with OS should be treated in maxillo-facial departments with obligatory consultation of the otorhinolaryngologist, who knows the features of pathological process in MS better than the maxillofacial surgeon. In addition, in OS one should use a set of conservative measures that will help to ensure the compete treatment of the inflamed sinus. Having the opportunity to choose the optimal sparing variant of intervention, one can achieve optimal and steady recovery of patients with OS.

Microbiology of Sinus Puncture versus Middle Meatal Aspiration in Acute Bacterial Maxillary Sinusitis

2005 ◽  
Vol 19 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Sander Joniau ◽  
Stephan Vlaminck ◽  
Herman Van Landuyt ◽  
Rudi Kuhweide ◽  
Catherine Dick
Keyword(s):  
Clinical Practice ◽  
Positive Predictive Value ◽  
Maxillary Sinus ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Gold Standard ◽  
Maxillary Sinusitis ◽  
Diagnostic Usefulness ◽  
Patient Enrollment ◽  
Outpatient Study

Background Maxillary sinus puncture is considered the gold standard for diagnosing acute bacterial maxillary sinusitis (ABMS) and for identifying bacterial pathogens in antimicrobial trials of ABMS. However, sinus puncture and aspiration is an invasive, time-consuming procedure that is limited by discomfort to the patient and possible complications. Therefore, the diagnostic usefulness in clinical practice and patient enrollment in studies of ABMS is hindered and alternatives for maxillary sinus puncture are being investigated. Methods We designed a prospective clinical and microbiological outpatient study. Cultures obtained by endoscopically guided middle meatal aspiration were compared with those from sinus puncture and aspiration in 24 patients with ABMS. Results Considering puncture and aspiration as the gold standard, endoscopy cultures provided a sensitivity of 80%, specificity of 100%, positive predictive value of 100%, negative predictive value of 78.6%, and correlation of 88.5%. Conclusions In our study, endoscopic sampling compared favorably with sinus puncture and aspiration.

scholarly journals Features of preparation of patients with chronic maxillary sinusitis for sinus lifting and dental implantation

2020 ◽  
pp. 74-75
Author(s):  
T. I. Gurina ◽  
S. S. Berveno ◽  
K. N. Parkhomenko
Keyword(s):  
Oral Cavity ◽  
Nasal Cavity ◽  
Chronic Infection ◽  
Maxillary Sinusitis ◽  
Maxillofacial Region ◽  
Dental Implantation ◽  
Sinus Lifting ◽  
Preparatory Stage ◽  
Chronic Maxillary Sinusitis ◽  
Maxillary Sinuses

An important point in dental implantation is considered to be the preparatory stage, which includes the elimination of foci of chronic infection in the oral cavity and the entire maxillofacial region as well as in the nasal cavity and sinuses. The article covers the clinical features of preparation for sinus lifting, compares the methods of rehabilitation of the maxillary sinuses.

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